Scheda di esercizi di Area medico-chirurgica: neurologica, endocrina e renale con soluzioni

What is acromegaly?

1. AToo much growth hormone in an adult
2. BToo little thyroid hormone in an adult
3. CToo much cortisol from the adrenal glands
4. DToo little growth hormone in a child

How do sulfonylureas such as gliclazide lower blood glucose?

1. AThey make the pancreas release more insulin
2. BThey make the kidneys pass more glucose
3. CThey replace insulin that the body lacks
4. DThey slow down the absorption of food

How is the pain of trigeminal neuralgia typically described?

1. AA dull ache across the forehead that lasts all day
2. BA throbbing pain behind one eye with nausea and aura
3. CSudden electric-shock pain in the face set off by light touch
4. DA burning pain in both feet, worse at night

Durante il trattamento di una DKA, la glicemia scende sotto circa 14 mmol/L (circa 250 mg/dL) ma i chetoni sono ancora elevati. Che cosa avviene di solito?

1. ATutti i liquidi EV vengono sospesi per evitare il sovraccarico
2. BL'infusione di insulina viene interrotta subito
3. CSi aggiunge glucosio ai liquidi; l'insulina prosegue
4. DIl paziente mangia un pasto e il trattamento EV si interrompe

A man starts finasteride for an enlarged prostate. Which statement is correct?

1. AIt works within hours by relaxing the bladder muscle
2. BIt lowers the blood pressure, so dizziness is very common
3. CIt is used only for a few days at a time
4. DIt takes months to work; pregnant women must not handle broken tablets

A bladder scan straight after voiding shows 450 mL of urine still in the bladder. What does this show?

1. AThe bladder is not emptying properly
2. BThe patient has drunk too little fluid
3. CThe patient is passing urine normally
4. DThe kidneys are making too little urine

A patient had rapid-acting insulin before lunch, then vomited the meal 15 minutes later. What should the nurse do?

1. AMonitor glucose closely and tell the prescriber about the hypo risk
2. BGive the evening long-acting insulin early to balance it
3. CGive another insulin dose because the meal was lost
4. DIgnore it, because vomiting raises blood glucose

Which patient on a stroke unit is most at risk of falling?

1. AA patient with a TIA whose symptoms resolved completely yesterday
2. BA patient with a left-hemisphere stroke who has expressive aphasia and waits for help
3. CA patient with a right-hemisphere stroke who is impulsive and denies having weakness
4. DA patient with mild dysarthria who walks steadily with a frame